Healthcare Provider Details

I. General information

NPI: 1700712791
Provider Name (Legal Business Name): MICHAEL MELHEM MASRI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E FOOTHILL BLVD STE 100
ARCADIA CA
91006-2551
US

IV. Provider business mailing address

301 E FOOTHILL BLVD STE 100
ARCADIA CA
91006-2551
US

V. Phone/Fax

Practice location:
  • Phone: 626-275-6302
  • Fax:
Mailing address:
  • Phone: 626-275-6302
  • Fax: 626-226-5962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: